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Wisconsin rates for HCPCS 0117U

Pain Mgmt Alys 11 Endogenous Analytes Urine Alg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.78 / $1,008.78 / $1,008.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.33 / $790.21 / $1,008.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.32 / $846.27 / $2,959.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.65 / $840.65 / $1,279.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,313.17 / $2,703.13 / $4,146.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.01 / $2,263.69 / $2,572.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.39 / $756.59 / $1,076.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.39 / $840.65 / $3,993.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.58 / $840.65 / $1,765.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $420.33
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.39 / $756.59 / $1,076.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.62 / $2,004.61 / $2,858.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.30 / $1,681.30 / $3,993.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.20 / $1,790.20 / $1,790.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,413.41 / $4,589.95 / $4,589.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.52 / $672.52 / $1,824.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.95 / $672.52 / $1,564.79